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CAn you help me with these questions Question 41 A 24-year-old IV drug abuser comes to the clinic with complaints of fatigue, and jaundice. The AGACNP suspects the patient has acute hepatitis B. Which of the following would the AGACNP expect to see in lab work? Detection of HbsAg and Anti-HBc-IgM Anti-HBc-IgM Detection of HbsAg Presence of HAV-IgM 42. A 15-year-old boy is brought to the office by his parents because he has had pain in the right hip with weight-bearing as well as obvious limping for the past week. The patient’s parents say they have noticed the child favoring his right leg during the past few weeks. He has not had any recent illness or injury to the leg. Medical history includes no chronic disease conditions. Physical examination shows tenderness on passive internal rotation of the hip joint and mild diffuse atrophy of the right thigh musculature. X-ray studies of the hip and femur show no abnormalities. Which of the following studies is the most appropriate next step? Ultrasonography Aspiration of the right hip joint CT scan MRI Bone scan Question 43 Ranson’s Criteria of Severity is a morbidity and mortality index used to predict risk in patients with acute pancreatitis. A Ranson score of 3 indicates: Liver failure Surgical intervention is likely required Severe disease Mild disease Question 44 All of the following elevated lab results confirm liver disease except? unconjugated bilirubin conjugated bilirubin urine bilirubin aspartate aminotransferase Question 45 A 30-year-old female comes to your office with complaints of epigastric pain that awakens her at night. She admits to being under a lot of stress at work and takes 2,400 mg of ibuprofen for menstrual cramps and lower back pain 5-6 times a week, especially after heavy lifting. She smokes one pack of cigarettes a day. Her physical exam is unremarkable but she does have positive heme stools. She is referred for an upper endoscopy which reveals a duodenal ulcer. Given this history, what is the most likely etiology of her ulcer? Non steroidal anti-inflammatory drug use Stress related ulcerations Heliobacter pylori infection Cigarette smoking

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